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A influência do parto no funcionamento sexual feminino : um estudo piloto
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Resumo(s)
O presente estudo tem como principal objectivo avaliar a influência do parto no funcionamento sexual feminino aos seis meses pós-parto. Utilizou-se uma metodologia quantitativa, com estudo exploratório - descritivo, transversal e correlacional. Usou-se como instrumento de colheita de dados um questionário sócio-demográfico, escala Female Sexual Function Índex (FSFI) de Rosen et al (2002). Foram excluídas todas as mulheres com valores superiores a 13 da Escala de Depressão Pós-parto de Edinburgo, com doença crónica e a tomar anti-depresssivos no total de 14 mulheres. A amostra de conveniência incluiu as mulheres primíparas do Serviço de Obstetrícia do Hospital Nossa Senhora do Rosário- Barreiro no ano 2005, no total de 84 indivíduos. Foram divididas nos grupos cesariana e via vaginal, este último dividido nas categorias de eutócico com episiotomia e lacerações espontâneas, eutócico com períneo intacto e parto instrumental. Os resultados evidenciaram que a média de idades foi de 27 anos. Verificou-se que 60% dos partos foram cesarianas e 40% foram do tipo vaginal. Relativamente aos partos por via vaginal, 53,8% foram eutócicos com episiotomia com lacerações espontâneas e 43,6% partos instrumentais, respectivamente. O tempo médio de reinício da actividade sexual foi às 8 semanas. Concluiu-se que não ocorreram diferenças significativas nos valores de FSFI nas mulheres com parto por via vaginal ou cesariana. Relativamente ao parto por via vaginal nas diferentes categorias, não se encontraram diferenças nos valores de FSFI; no entanto, as mulheres que tiveram partos por cesariana têm sempre valores médios superiores de FSFI e relativamente às mulheres que tiveram partos por via vaginal. Encontram-se associação positiva com valores de FSFI mais elevados entre as mulheres que com iniciativa sexual, as que predominantemente deixam a iniciativa sexual ao companheiro, mas também a tomam por vezes e as mulheres que partilham a
The main aim of this study is to assess the influence of birth on the female sexual functioning six months after birth. A quantitative methodology was used as an exploratory study descriptive, transversal and correlational. A sociodemographic questionnaire was used to collect data, Rosen's et all (2002) scale Female sexual Function Index (FSFI). From a total of 14 women, all those assessed above 13 on the Edinburgh scale of depression after birth were excluded and also those with chronic disease and those on anti-depressive medication. By convenience this sample includes female primiparous from Obstetrics Service at Hospital Nossa Senhora do Rosário Barreiro, during 2005, including 84 individuals. They were divided into the following groups: Cesarian and vaginal birth. This last one was divided into the categories vaginal delivery with episiotomy and spontaneous lacerations, vaginal delivery with intact perineum and instrumental birth. The results showed that the average age was 27. 60% were cesareans, 40% were vaginal type births. In what vaginal births are concerned, 53,8% were vaginal delivery with episiotomy with spontaneous lacerations and 43,6% were instrumental births, respectively. The average time to restart sexual activity was about 8 weeks. We concluded that there wasn't a significant difference in FSFI values in women with vaginal birth or cesarean. As far as vaginal birth is concerned and considering the different categories there was no difference in FSFI values. However, women with cesareans always have FSFI average values higher when compared with women with vaginal birth. There is to be found a positive association with higher FSFI values among women with sexual initiative than with those who usually leave this (initiative) to their partner but who, sometimes, take it too. And women who show sexual initiative with their partners than women with no sexual initiative.
The main aim of this study is to assess the influence of birth on the female sexual functioning six months after birth. A quantitative methodology was used as an exploratory study descriptive, transversal and correlational. A sociodemographic questionnaire was used to collect data, Rosen's et all (2002) scale Female sexual Function Index (FSFI). From a total of 14 women, all those assessed above 13 on the Edinburgh scale of depression after birth were excluded and also those with chronic disease and those on anti-depressive medication. By convenience this sample includes female primiparous from Obstetrics Service at Hospital Nossa Senhora do Rosário Barreiro, during 2005, including 84 individuals. They were divided into the following groups: Cesarian and vaginal birth. This last one was divided into the categories vaginal delivery with episiotomy and spontaneous lacerations, vaginal delivery with intact perineum and instrumental birth. The results showed that the average age was 27. 60% were cesareans, 40% were vaginal type births. In what vaginal births are concerned, 53,8% were vaginal delivery with episiotomy with spontaneous lacerations and 43,6% were instrumental births, respectively. The average time to restart sexual activity was about 8 weeks. We concluded that there wasn't a significant difference in FSFI values in women with vaginal birth or cesarean. As far as vaginal birth is concerned and considering the different categories there was no difference in FSFI values. However, women with cesareans always have FSFI average values higher when compared with women with vaginal birth. There is to be found a positive association with higher FSFI values among women with sexual initiative than with those who usually leave this (initiative) to their partner but who, sometimes, take it too. And women who show sexual initiative with their partners than women with no sexual initiative.
Descrição
Tese de mestrado em Sexualidade Humana, apresentada à Faculdade de Medicina da Universidade de Lisboa, 2009
Palavras-chave
Funcionamento sexual feminino Sexualidade Período pós-parto Parto vaginal Cesariana Teses de mestrado - 2009